Six Steps for Outcomes-Based Improvement

What are the key components for eliminating waste and improving efficiency and customer satisfaction while strengthening the bottom line? That’s the focus of a white paper released by Naperville, Ill.-based Impact Advisors, which provides insight for boosting the value of electronic health records (EHRs). The paper identifies optimization opportunities for provider organizations, as well as steps they can take to achieving those goals.

I think the paper is valuable because it offers a structured approach to implementing optimization strategies to increase the value of an EHR, both for clinical and revenue-cycle processes. As noted by Steven Schlossberg, M.D., chief medical officer at Impact Advisors, every organization should be looking for ways to optimize their EHR, but many don’t know where to start, or set optimization aside for later. He says that by pairing discipline with an outcomes-based approach, healthcare systems can achieve the full value of their EHR implementation.

Optimization can occur before, during or after an EHR implementation, but at its core, optimization efforts should be aimed toward outcomes-based improvement to meet defined set of objectives. Impact Advisors defines 10 opportunities for improved outcomes. One such opportunity: improving quality of care, which will provide value by enhancing patient care while minimizing provider risk associated with reduced reimbursement. Potential focus areas for achieving that outcome include population health and disease management and quality monitoring and reporting.

Optimize to achieve outcomes. Apply industry best practices from EHR user groups and other sources, and eliminate waste by eliminating steps that don’t add value. design and test a pilot to achieve the desired reqaults.

Sustain results. Set up onging monitoring and reinforce behavior change.

Transition ownership of the improved process to the front-line operational leadership.

Impact Advisors says that by applying a robust implementation strategy, healthcare systems can realize the expected value of an EHR implementation, but it emphasizes that success depends on a “disciplined, outcomes-based approach to meet a defined set of objectives.